{
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"OrgName": "CALLICOAT FAMILY CLINIC",
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"FirstLineMailingAddress": "11135 FARM ROAD 1497",
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"MailingAddressCityName": "PARIS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75462-3890",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "903-737-8095",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1025 DESHONG DR",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/19/2009",
"LastUpdateDate": "12/21/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CALLICOAT",
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"AuthorizedOfficialMiddleName": "KAY",
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"AuthorizedOfficialCredential": "RN, MSN, FNP-C",
"AuthorizedOfficialTelephoneNumber": "903-737-8095",
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"Taxonomy": [
{
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"TaxonomyName": "Legal Medicine",
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"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
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}
]
}
}
}